Common Contracts

AGREEMENT FOR ACCESS TO PROTECTED HEALTH INFORMATION BETWEEN WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER

Access to Protected Health Information Agreement • August 23rd, 2012 • North Carolina

• Contract Type
  Access to Protected Health Information Agreement
• Filed
  August 23rd, 2012
• Jurisdiction
  North Carolina

THIS AGREEMENT for Access to Protected Health Information (“PHI”) (“Agreement”) is entered into between Wake Forest University Baptist Medical Center (hereinafter “WFUBMC”) and (hereinafter “Outside Entity”).